改良第2跖趾关节复合组织移植重建掌指关节的解剖基础及临床应用  

Anatomy and clinical application of transplanting modified the second metatarsophalangeal joint for metacarpophalangeal joint reconstruction

作　　者：杨涛[1] 王利[1] 陈传煌[1] 宫云霞[1] 李文庆[1] 朱小弟[1] 

机构地区：[1]广东医学院附属南山医院手足外科,广东深圳518052

出　　处：《中国临床解剖学杂志》2011年第1期105-108,共4页Chinese Journal of Clinical Anatomy

摘　　要：目的以第2跖趾关节的解剖学特点为基础,探讨改良的第2跖趾关节复合组织游离移植修复手部掌指关节复合组织缺损的方法及临床疗效。方法根据掌指关节的缺损情况,采用改良的第2跖趾全关节复合组织移植7例、第2跖趾半关节复合组织移植5例修复手部创伤后掌指关节的复合组织缺损。结果 12例全部成活。术后随访6个月～3年,掌指关节的功能恢复较满意,X片显示:骨折愈合良好,未见关节退行性改变。第2跖趾的半关节移植组功能恢复优于全关节移植组。结论改良的第2跖关节复合组织移植是修复掌指关节复合组织缺损较有效的方法。Objective Basing on anatomic characteristics of the second metatarsophalangeal joint, we studied the method and clinical effects of reconstructing composite tissue defects in the metacarpophalangeal joint by transplantation of modified composite tissue in the second metatarsophalangeal joint. Methods According to the defects of the metacarpophalangeal joint , modified composite tissue in the second metatarsophalangeal joint transplantation was conducted to reconstruct metacarpophalangeal joint： total metatarsophalangeal joint transplantation in 7 cases, semi-joint transplantation in 5 cases. Results All reconstructed metacarsophalangeal joints survived in 12 cases. With follow-ups for 6-36 months, all cases have no joint degeneration in X-ray manifestation and the restoration of joint function is satisfying; the function of cases with metatarsophalangeal semi-joint transplantation was better than those in total joint transplantation.. Conclusions It is an effective method to reconstruct composite tissue defects in the metacarpophalangeal joint by transplantation of composite tissue in the second metatarsophalangeal joint.

关 键 词：跖趾关节 复合组织移植 掌指关节 显微修复重建 

分 类 号：R616.2[医药卫生—外科学]